摘要
目的探讨胃癌患者行腹腔镜胃癌根治术后发生感染的病原菌分布以及危险因素,为降低腹腔镜胃癌根治术后感染率提供理论支持。方法收集吉林大学中日联谊医院胃肠结直肠肛门外科2013年6月至2015年5月间收治的160例行腹腔镜胃癌根治术患者的临床资料,对其术后感染病原菌的分布特点和危险因素进行分析。结果160例患者中共有27例患者术后发生感染,感染率为16.9%,其中肺部感染率最高,其次为腹腔感染和切口感染;27例感染患者共检出31株病原菌,革兰阳性菌8株,革兰阴性菌20株;腹腔镜胃癌根治术后感染的危险因素为年龄>60岁、吸烟、体质量指数(BMI)≥24kg/m2、合并糖尿病、留置导尿时间>3d和住院时间>14d(均P<0.05)。结论胃癌患者行腹腔镜胃癌根治术后感染的病原菌以革兰阴性菌为主;通过戒烟、提高机体免疫力、控制血糖、尽早拔除尿管、缩短住院时间等措施可以降低腹腔镜胃癌根治术后感染的发生率。
Objective To explore the risk factors of infections after laparoscopic gastrectomy,and analyze the distribution of pathogens,and to provide theoretical basis to control infections.Methods A total of 160 patients with gastric cancer who underwent laparoscopic gastrectomy from Jun.2013 to May.2015 were analyzed,and the distribution of pathogens and risk factors for postoperative infections were analyzed.Results The postoperative infection rate was16.9%.The main infection sites were lung infection,abdominal infection and wound complications.A total of 31 cases of pathogens were detected,of which 20 bacteria was gram-negative bacteria.This study show that the related risk factors o were age above 60 years old,smoking history,BMI≥24kg/m2,combined diabetes,long duration of indwelling catheter and hospitalization（all P〈0.05）.Conclusion We can reduce infection rate by smoking cessation,improving immunity,control of blood glucose,decreasing preoperative blood transfusion,shortening duration of hospitalization.
出处
《中国实验诊断学》
2016年第9期1474-1476,共3页
Chinese Journal of Laboratory Diagnosis
关键词
胃肿瘤
腹腔镜
术后感染
危险因素
Gastric neoplasm
Laparoscopic
Postoperative infection
Risk factors
